Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.50 / $4,083.40 / $8,728.00	Facility		$169.50	$4,083.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $429.60 / $1,249.07	Professional		$67.26	$429.60	$1,249.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,664.70	Facility		$1,487.79	$1,487.79	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $268.17 / $1,576.90	Professional		$108.24	$268.17	$1,576.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $191.64 / $1,404.32	Professional		$130.44	$191.64	$1,404.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.90 / $473.01 / $1,385.50	Facility		$105.90	$473.01	$1,385.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $853.74 / $1,348.85	Professional		$117.04	$853.74	$1,348.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $1,038.50 / $1,155.08	Facility		$145.19	$1,038.50	$1,155.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.90 / $640.54 / $1,536.00	Facility		$105.90	$640.54	$1,536.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.56 / $751.68 / $1,555.51	Professional		$133.56	$751.68	$1,555.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,985.85 / $7,123.24	Facility		$4,389.68	$5,985.85	$7,123.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $994.28 / $1,628.38	Professional		$134.66	$994.28	$1,628.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.02 / $1,154.64 / $1,869.31	Professional		$832.02	$1,154.64	$1,869.31